Organization
MEDICAL HOME ALLIANCE LLC
Active
Parent organization
INHEALTH MD ALLIANCE LLC
Other names
IMA South Lakeland Dispensary
Organization subpart
Yes
Provider details
NPI number
Legal business name
INHEALTH MD ALLIANCE LLC
Authorized official
MRS. PATRICIA PICHARDO (COO)
(407) 845-0330
Entity
Organization
Contact information
Practice address
4725 US HIGHWAY 98 S STE 102, LAKELAND, FL 33812-4334
(863) 646-9663
(863) 646-8664
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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